Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $149.19 / $149.19 / $149.19	Facility		$149.19	$149.19	$149.19
Aetna Facility/Professional Professional Modifier Low / Median / High Price $71.66 / $149.19 / $182.02	Professional		$71.66	$149.19	$182.02
BCBS Facility/Professional Facility Modifier Low / Median / High Price $624.61 / $808.24 / $1,266.95	Facility		$624.61	$808.24	$1,266.95
BCBS Facility/Professional Professional Modifier Low / Median / High Price $102.64 / $170.03 / $233.25	Professional		$102.64	$170.03	$233.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $274.25 / $314.20 / $390.52	Professional		$274.25	$314.20	$390.52
Medica Facility/Professional Facility Modifier Low / Median / High Price $103.65 / $252.13 / $519.11	Facility		$103.65	$252.13	$519.11
Medica Facility/Professional Professional Modifier Low / Median / High Price $153.85 / $425.13 / $999.25	Professional		$153.85	$425.13	$999.25
Midlands Facility/Professional Facility Modifier Low / Median / High Price $283.08 / $301.63 / $391.52	Facility		$283.08	$301.63	$391.52
Midlands Facility/Professional Professional Modifier Low / Median / High Price $283.08 / $374.84 / $496.34	Professional		$283.08	$374.84	$496.34
United Facility/Professional Professional Modifier Low / Median / High Price $180.24 / $437.27 / $573.79	Professional		$180.24	$437.27	$573.79